Organization
OTOLOGICS, P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL A LASALLE LOPEZ M.D. (PRESIDENT)
(787) 833-2155
Entity
Organization
Contact information
Practice address
55 CALLE DE DIEGO E, SUITE 105, MAYAGUEZ, PR 00680-5078
(787) 833-2155
(787) 833-2680
Mailing address
CPR PROFESIONAL BUILDING 55 CALLE DE DIEGO E, SUITE 105, MAYAGUEZ, PR 00680-5079
(787) 833-2155
(787) 833-2680
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
03/31/2011
Last updated
06/13/2011
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